Bourcier, Mark A
Bourcier, Mark A is an individual health care provider with primary practice located at 391 Montgomery St , Chicopee MA 01020-1929. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bourcier, Mark A can be contacted via phone (413) 592-8099.Contact Information
Primary practice address
391 Montgomery St
Chicopee MA 01020-1929
Phone: (413) 592-8099
Fax: (513) 592-5839
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 21201 | Massachusetts |
Profile Details
| NPI number | 1093836017 |
|---|---|
| LBN Legal business name | Bourcier, Mark A |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093836017 | NPPES |
| California | Other | 1426492 | TRICARE |
| California | Other | 1426492 | TRICARE |
| California | Other | X11395 | TRICARE |
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